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Individual

DR. KAREN J HACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
154 DUCHESS ST, NEWPORT, VT 05855-0724
(802) 334-6744
(802) 334-7455
Mailing address
PO BOX 112, COVENTRY, VT 05825-0112
(802) 334-1585
(802) 334-7455

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048-0000603
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007316
VT
Enumeration date
03/13/2007
Last updated
07/08/2007
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